Individual
JASON MICHAEL PUDENZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
322 W 3RD ST, SUITE B, CARROLL, IA 51401-2708
(712) 775-2418
(712) 775-2418
Mailing address
322 W 3RD ST, SUITE B, CARROLL, IA 51401-2708
(712) 775-2418
(712) 775-2418
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
007596
IA
111N00000X
Chiropractor
CHR-6882
CO
Other
Enumeration date
06/19/2012
Last updated
02/19/2013
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